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How do we make choices about our behaviors? How do we judge the potential risks and benefits of a decision to, for example, use tobacco products?

In 2002, psychologist Daniel Kahneman was awarded the Nobel Prize in Economic Sciences for demonstrating that the answers to these questions are found through an integration of psychology and economics.

Today, cancer is the leading cause of death of people living with HIV (PLWH). A study published in the Annals of Internal Medicine showed that between 1996 and 2009, there was a 50% increase in cancers of people living with HIV compared to the general population. Non-AIDS-related cancer deaths increased from 11% to 22%. People living with HIV had higher rates for 4 out of 5 forms of cancer.

You probably already know that flavored tobacco and e-cigarettes pose a unique and compelling danger to children and youth. You’ve paid attention to the headlines. You’ve read the articles and reports. You’ve been astonished at the troubling statistics showing how these products are fueling increases in tobacco use among youth.

That was certainly true for me. Then I helped out in a photoshoot of flavored tobacco and e-cigarette products.

ETR is privileged to work with outstanding partners. In fact, one of the best things about working here is the opportunity to collaborate with people and programs whose mission, like ours, is to make a genuine difference.

I’d like to tell you a story about a woman I’ll call Minnie. She’s a single mom with two pre-school aged children. She called my office one day asking for help about her housing situation.

Minnie and her children lived in a second floor apartment in a privately owned low rent housing unit. She was routinely sleeping in her car with her kids because her downstairs neighbor came home from work each day around 6 PM and began smoking. By nine o’clock, her children, one of whom had asthma, were coughing and having problems breathing.

Health promotion must take a multifaceted approach. It is the only path to success. This is one of my core beliefs.

It’s also something that resonated deeply for me at ETR’s recent All Staff Retreat—my first. When you meet everyone in this organization in one room at one time, you are struck by the fact that ETR staffers work in so many diverse areas of public health research and practice.

Inspiration is powerful. From the time I was a teen, inspiring people have come into my life at just the right moments. They’ve given me encouragement to move forward, to grow and to give back, exactly when I was ready to do so.

I was born and raised on the Rincon reservation in Southern California. They are a neighboring tribe to my tribe, the San Pasqual. There’s a good chance, even if you know about reservation life, mine was not what you would expect.

My parents sheltered the children in our family. I had no idea that my community was struggling with serious issues around diabetes, alcohol and drug use.

Are e-cigarettes really harmful to youth? Yes. Last year’s Surgeon General Report E-Cigarette Use Among Youth and Young Adults confirms that this is a “major public health concern.” Younger brains are more susceptible to addiction, and e-cigarette use may open the door to other addictions, including conventional cigarettes and illicit drugs. Exposure to nicotine while young may interfere with brain development with resulting negative effects on cognition, memory and attention.